MEDICARE: CASEY REIN LAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	1398	CO

General Provider Information

NPI Number	:	1376824250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASEY REIN LAC

Provider Business Mailing Address
First Line	:	9814 GATESBURY CIR
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80126-6839
Country	:	US
Telephone Number	:	303-503-0403
Fax Number	:

Provider Business Practice Location Address
First Line	:	7601 SOUTH UNIVERSITY BLVD
Second Line	:	SUITE 103
City	:	CENTENNIAL
State	:	CO
Zip	:	80122
Country	:	US
Telephone Number	:	303-730-3177
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2011
Last Update Date	:	09/17/2013

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Directions to “ CASEY REIN LAC” Practice Location

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